摘要
背景:小肠克罗恩病(CD)是影像学检查的难点。近年来,胶囊内镜被广泛应用于诊断小肠CD。目的:探讨胶囊内镜与小肠CT成像(CTE)在小肠CD临床诊断中的应用价值。方法:回顾性研究2014年10月-2018年4月同济大学附属第十人民医院收治的28例小肠CD患者,比较胶囊内镜与CTE的病变检出率和诊断准确性。结果:胶囊内镜与CTE总体病变检出率无明显差异(96. 4%对85. 7%,P> 0. 05),但胶囊内镜对小肠CD的诊断准确性优于CTE(89. 3%对42. 9%,P <0. 05),尤其是对空肠病变的诊断(96. 4%对21. 4%);两者对回肠病变的检出率无明显差异(96. 4%对78. 6%,P>0. 05)。CTE在病变定位以及发现肠外病变、结肠病变方面优于胶囊内镜。两者联合应用,对小肠CD的诊断准确性可达100%。结论:胶囊内镜对小肠CD的病变检出率与CTE相当,诊断准确性则明显优于CTE,尤其是对于空肠病变。两者联合应用在小肠CD的临床诊断中具有重要应用价值,值得进一步推广。
Background: Crohn’s disease( CD) of small intestine is a difficult issue in imaging examination. In recent years,capsule endoscopy( CE) has been widely used in diagnosis of CD in small intestine. Aims: To assess the value of CE and CT enterography( CTE) for clinical diagnosis of small intestinal CD. Methods: Data of 28 cases of small intestinal CD who underwent CTE and CE at the Tenth People ’s Hospital of Tongji University from Oct. 2014 to Apr. 2018 were analyzed retrospectively. The detection rate and diagnostic accuracy of CE and CTE were calculated and compared.Results: There was no significant difference in overall detection rate between CE and CTE( 96. 4% vs. 85. 7%,P >0. 05);but the diagnostic accuracy of CE for small intestinal CD was significantly higher than that of CTE( 89. 3% vs.42. 9%,P < 0. 05),especially for jejunal lesions( 96. 4% vs. 21. 4%). The performance of CE and CTE for detection of ileal lesions was similar( 96. 4% vs. 78. 6%,P > 0. 05). CTE is superior to CE in location and finding extraintestinal and colonic lesions. The diagnostic accuracy of combined use of CE and CTE for small intestinal CD was up to 100%.Conclusions: For diagnosis of small intestinal CD,the detection rate of CE for intestinal lesions is equal to that of CTE,while its diagnostic accuracy is superior to CTE,especially for jejunal lesions. Combined use of these two techniques is of great importance for clinical diagnosis of small intestinal CD and worthy to be used increasedly.
作者
钟颖
孙晓敏
刘占举
徐梅琳
张秋琴
ZHONG Ying;SUN Xiaomin;LIU Zhanju;XU Meilin;ZHANG Qiuqin(Department of Gastroenterology, the Tenth People’s Hospital of Tongji University, Shanghai (200072);Department of Gastroenterology, Renhe Hospital of Baoshan District, Shanghai)
出处
《胃肠病学》
2019年第4期207-210,共4页
Chinese Journal of Gastroenterology
基金
上海市科学技术委员会科研计划项目(16ZR1426600)
